摘要
目的探讨神经内镜治疗基底节区脑出血(HICH)的不同手术入路的安全性及疗效性,为该技术的手术入路提供临床依据。方法42例基底节区脑出血(HICH)患者,均采用神经内镜手术治疗基底节区脑出血。按照手术入路不同,分为经额中回入路组(22例)和经颞皮质入路组(20)例。对比两组不同手术入路的手术时间、术中出血、血肿清除率、术后并发症以及近期疗效。结果两种入路在手术时间、术中出血量及术后并发症上无明显统计学差异,但是皮质损伤大小、血肿清除率及术后一月GOS评分上差异存有统计学意义(P<0.05)。结论神经内镜治疗基底节区脑出血经额中回入路在皮质损伤大小、血肿清除率及近期预后率上均优于经颞皮质入路。
Objective To investigate the safety and efficacy of different surgical approaches for the treatment of basal ganglia intracerebral hemorrhage(HICH)by neuroendoscopy,and to provide clinical evidence for the surgical approaches of HICH.Methods 42 patients with basal ganglia intracerebral hemorrhage(HICH)underwent neuroendoscopic surgery for basal ganglia intracerebral hemorrhage.According to the different surgical approaches,the patients were divided into the middle frontal gyrus approach group(22 cases)and the temporal cortex approach group(20 cases).The operation time,intraoperative blood loss,hematoma clearance rate,postoperative complications,short-term outcomes of the two groups were compared.Results There were no significant differences in operation time,intraoperative bleeding volume and complications between the two approaches,but there were significant differences in cortical injury size,hematoma clearance rate and GOS score in one month after operation(P<0.05).Conclusion The cortical injury size,clearance rate of hematoma,the good prognosis rate and the incidence of complications after neuroendoscopy in the treatment of basal ganglia intracerebral hemorrhage through the middle frontal gyrus approach were better than those through the temporal cortex approach.
作者
余吉勇
文婷彝
熊国祥
彭清
邹滔滔
YU Jiyong;WEN Tingyi;XIONG Guoxiang;PENG Qing;ZOU Taotao(Department of Neurosurgery,The First People's Hospital of Yidu,Yidu Hubei 443300,China)
出处
《中国继续医学教育》
2020年第23期129-132,共4页
China Continuing Medical Education
关键词
神经内镜手术
基底节区脑出血
手术入路
额中回入路
颞皮质入路
血肿清除率
endoscopic surgery
cerebral hemorrhage in basal ganglia
surgical approach
middle frontal approach
transcortical approach
hematoma clearance rate
